A 41-year-old man with bilateral, painless loss of vision

Abstract

A 41-year-old South Asian man presented at an outside clinic affiliated with MedStar Georgetown University Hospital with painless, progressive vision loss in both eyes. His symptoms started with constant blurred vision and floaters in his left eye 4 weeks earlier, followed 2 weeks later by blurred vision in his right eye. Past medical, surgical, and ophthalmic history were unremarkable. He was not taking medications and had no known drug allergies. Review of systems was negative for skin rashes, joint pains, fevers, auditory, and neurological symptoms. Family history was significant for cataracts. There was no known history of ocular inflammation. He reported drinking alcohol socially and smoking two cigarettes daily.